Banca de DEFESA: CHYRLY ELIDIANE DE MOURA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : CHYRLY ELIDIANE DE MOURA
DATE: 24/02/2023
TIME: 14:00
LOCAL: Escola de Saúde UFRN
TITLE:

Standard Operating Procedure for the treatment of syphilis in Primary Health Care: breaking the paradigm of Benzylpenicillin application

KEY WORDS:

Keywords: Syphilis. Primary Health Care. Benzathine benzylpenicillin

PAGES: 120
BIG AREA: Ciências da Saúde
AREA: Enfermagem
SUBÁREA: Enfermagem de Saúde Pública
SUMMARY:

Syphilis is a sexually transmitted systemic infection that is curable and exclusive to humans. It is caused by the Treponema pallidum bacterium and can be transmitted through unprotected sexual contact and from mother to baby during pregnancy in cases where the pregnant woman has not received or received inadequate treatment. Primary Health Care (PHC) plays a crucial role in providing comprehensive care to people with syphilis and promotes prevention, diagnosis, treatment, follow-up, and surveillance actions. Since 2016, Brazil has been experiencing a syphilis epidemic, partly due to an increase in testing coverage, a decrease in condom use, and resistance from health professionals to administer benzathine benzylpenicillin in PHC. Given this situation, the objective of this study was to develop and present a Standard Operating Procedure (SOP) to contribute to the adherence and safety of the teams in administering benzathine benzylpenicillin in PHC based on the fragilities identified by professionals. This study was a qualitative action research type and was conducted in a municipality in the 7th Health Region of Rio Grande do Norte (RN). The study universe was the technical teams of PHC and Surveillance, as well as the teams of Basic Health Units (BHUs) that do not administer benzathine benzylpenicillin. Information was collected through the use of focus groups. The Atlas ti. cloud was used for data organization and categorization and content analysis developed by Laurence Bardin was used as the interpretation method. It was possible to organize and group the difficulties faced by professionals in treating syphilis in PHC, relating to the dimensions of health care management. In the professional dimension, the disability of professionals for preparing and administering this medication and taboos related to anaphylactic reactions were highlighted, such as fear of administering the medication to people who have never received it and in situations where the doctor is not present in the BHU. In the organizational dimension, fragilities in the logistics of medicines and supplies were highlighted, as well as the absence of protocols to guide practices and standardize the conduct of teams. In the systemic dimension, fragilities in the structure of BHUs are evidenced by the lack of a procedure room and space for observing users and the absence of basic items for emergency and emergency care. There are also fragilities in health management in supporting BHUs and understanding the role of PHC in the context of Health Care Networks (HCN). The identification of these fragilities contributes to the production of new tactics that can positively impact the intervention actions carried out by PHC teams. In this context, the SOP is presented as a management and care strategy, as when well developed and implemented with properly trained health teams, it helps with decision-making, expands access, and strengthens the care line for people with syphilis.

 

COMMITTEE MEMBERS:
Presidente - 2639848 - MARIZE BARROS DE SOUZA
Interna - 2344942 - JOVANKA BITTENCOURT LEITE DE CARVALHO
Externa à Instituição - CLAUDIA SANTOS MARTINIANO SOUSA - UEPB